IPHU A2M refresher/add on course on COVID-19 (2) September 15, 2021 by gargeya IPHU A2M refresher/add on course on COVID-19 (2)Please enable JavaScript in your browser to complete this form.Personal InformationFirst Name *Last Name *Gender *MaleFemaleOtherDate of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Country *Contact InformationEmail *Alternate EmailPhoneWhy could the course on Access to Covid-19 medical products be important for you and your activism (Paragraph Text)Professional InformationEducation *Occupation *Institution *Language SkillsEnglish *ExcellentGoodFairPoorAny other language (please type in box)ExcellentGoodFairPoorOnline Course RequirementsDo you have access to a reliable computer/laptop *YesNoDo you have access to a reliable internet connection *YesNoDo you agree to commit atleast 6 hours every week towards the course and course work *YesNoNameSubmit
